Individual
PRISCILA ALEXIS OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 PATTERSON RD, GRAND JUNCTION, CO 81506-4031
(970) 243-9539
Mailing address
673 PEAR DR, FRUITA, CO 81521-2284
(970) 640-8325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998690
CO
Other
Enumeration date
04/06/2022
Last updated
09/22/2022
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